Healthcare Provider Details

I. General information

NPI: 1982493771
Provider Name (Legal Business Name): 4HEARTS LEGACY LEARNING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 FOXFIELD RD
HOPKINSVILLE KY
42240-6110
US

IV. Provider business mailing address

630 FOXFIELD RD
HOPKINSVILLE KY
42240-6110
US

V. Phone/Fax

Practice location:
  • Phone: 270-498-9843
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ADIA SNORTON
Title or Position: OWNER
Credential:
Phone: 270-498-9843